Conceptual models for implementing biopsychosocial theory in clinical practice

The central nervous system – An additional consideration in ‘rotator cuff tendinopathy’ and a potential basis for understanding response to loaded therapeutic exercise

“…The output subsequently serves as a further input to the sampling loop. The MOM suggests that the CNS is continually sampling tissue health, the surrounding environment and itself, consciously and unconsciously, before scrutinising this input in the context of past experience, knowledge, beliefs, culture, past successful behaviour, past successful behaviour observed in others (Gifford, 1998b;Jones et al, 2002). This process of scrutiny before an output is generated is key and has the potential to create an environment for recovery or otherwise.…”

Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools

“…Traditionally, health care professionals have based their evaluation and treatment approach on the biomedical model that views a patient's pain and associated disability merely as symptoms of underlying tissue pathology. 30 Presently, the multidimensionality of neck pain, as with many chronic musculoskeletal disorders, is fully accepted; and the biopsychosocial model is implemented increasingly in diagnostics and in treatment of patients with neck pain. This model places a complaint of pain into a more holistic context and views the patient's experience of pain and disability as a system that comprises the pain itself, the person's attitudes and beliefs about the pain, elements of psychologic distress experienced, illness behaviors exhibited, and parameters of the social environment in which the person functions.…”

Qu'est-ce que la stigmatisation a à voir avec la physiothérapie?

“…On voit de petits signes du passage à cette approche plus vaste chez certaines branches de la physiothérapie qui ont adopté une approche biopsychologique. 24 Cependant, l'approche biopsychologique ne saurait suffire, car elle omet les facteurs culturels, historiques et politiques de la stigmatisation. Dans leurs récents travaux, des chercheurs en physiothérapie en appellent dans le même esprit à une refonte de l'enseignement et de la théorie.…”